Healthcare Provider Details

I. General information

NPI: 1952113888
Provider Name (Legal Business Name): OPEN BIONICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PARK AVE # 1664
NEW YORK NY
10017-5516
US

IV. Provider business mailing address

200 UNION BLVD STE 440
LAKEWOOD CO
80228-1812
US

V. Phone/Fax

Practice location:
  • Phone: 877-437-6276
  • Fax: 720-640-0405
Mailing address:
  • Phone: 720-417-8698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DANIEL D GREEN
Title or Position: CLINIC MANAGER, CPO
Credential: CPO
Phone: 838-900-3924